Individual provider Active NPI

Adrian Martin Asencio, OTL/R

  • Occupational Therapist
  • Santa Maria, CA
National Provider Identifier
1356357776
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT5725 Issued in CA
Practice address
820 E. Enos Dr.
Santa Maria, CA 93454
Phone
(805) 928-8257
Fax
(805) 349-7206
NPI assigned
Jul 31, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT5725 CA Primary

Addresses

Primary practice location

820 E. Enos Dr.
Santa Maria, CA 93454

Mailing address

820 E. Enos Dr.
Santa Maria, CA 93454
Phone (805) 928-8257

Other identifiers 1

IdentifierTypeStateIssuer
OT5725OtherCASTATE LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050701000451 CA Practitioner - Occupational Therapist in Private Practice 9133165939 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sansum ClinicGroup PAC ID 3678471976, 320 clinicians

Practice addresses (Care Compare)

5385 Hollister Ave
BLDG 1
Santa Barbara, CA 93111-2389
Phone (805) 681-7781

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT5725CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Carnahan Therapy/the Work Center, Inc. Occupational Therapist CurrentSince Feb 2, 2004 Accepting new patients
Sansum Clinic CurrentSince Apr 3, 2024 Accepting new patients
Sansum Clinic Current Accepting new patients
Santa Maria Valley Physical Therapy Group, Inc. CurrentSince Jul 1, 2006 Accepting new patients
Sansum Clinic CurrentSince Apr 3, 2024 Accepting new patients
Hullander and Mozingo LP PastSince Jul 1, 2006 Accepting new patients
Sansum Clinic Past Accepting new patients
Carnahan Therapy the Work Center, Inc. Occupational Therapist Past Accepting new patients
Sansum Clinic Past Accepting new patients

Locations

217 W Central Ave
Ste D
Lompoc, CA 93436
Phone (805) 737-4604

803 E Walnut Ave
Lompoc, CA 93436
Phone (805) 735-3714

805 E Walnut Ave
Lompoc, CA 93436
Phone (805) 735-3714

215 Pesetas Ln
Santa Barbara, CA 93110
Phone (805) 681-1765

5385 Hollister Ave
Bldg 1
Santa Barbara, CA 93111
Phone (805) 681-7781

820 E Enos Dr
Santa Maria, CA 93454
Phone (805) 928-8257

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356357776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 E. ENOS DR.",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "93454",
            "telephone_number": "805-928-8257",
            "fax_number": "805-349-7206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 E. ENOS DR.",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "93454",
            "telephone_number": "805-928-8257",
            "fax_number": "805-349-7206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASENCIO",
        "first_name": "ADRIAN",
        "middle_name": "MARTIN",
        "name_prefix": "Mr.",
        "credential": "OTL/R",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT5725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "OT5725",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.